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目的分析腹腔镜手术作用于子宫内膜异位症伴不孕的临床效果。方法 40例子宫内膜异位症伴不孕患者,采用数字随机法将患者分为观察组和对照组,每组20例。对照组行开腹手术,观察组实施腹腔镜手术。观察两组患者临床疗效。结果观察组手术时间为(64.1±10.2)min,对照组为(91.9±8.7)min,观察组患者手术时间短于对照组(P<0.05)。观察组术中失血量为(85.1±7.7)ml,对照组为(163.1±12.4)min,观察组患者的术中失血量少于对照组(P<0.05)。观察组住院时间为(3.4±0.8)d,对照组为(7.4±1.1)d,观察组患者住院时间短于对照组(P<0.05)。观察组止痛药使用率为10.00%(2/20),对照组为40.00%(8/20),观察组止痛药使用率低于对照组(P<0.05)。观察组妊娠率为65.00%(13/20),对照组为30.00%(6/20),观察组患者的妊娠率高于对照组(P<0.05)。结论在子宫内膜异位症伴不孕患者的治疗中,腹腔镜手术的整体治疗效果优于传统开腹手术,方法经验证效果确切,值得在临床中借鉴。
Objective To analyze the clinical effect of laparoscopic surgery on endometriosis with infertility. Methods Forty patients with endometriosis and infertility were divided into observation group and control group by digital random method, with 20 cases in each group. The control group underwent open surgery and the observation group underwent laparoscopic surgery. The clinical efficacy of the two groups was observed. Results The operation time in the observation group was (64.1 ± 10.2) min and in the control group was (91.9 ± 8.7) min. The operation time in the observation group was shorter than that in the control group (P <0.05). The intraoperative blood loss was (85.1 ± 7.7) ml in the observation group and (163.1 ± 12.4) min in the control group, and the intraoperative blood loss in the observation group was less than that in the control group (P <0.05). The length of stay in the observation group was (3.4 ± 0.8) days, and that in the control group was (7.4 ± 1.1) days. The length of stay in the observation group was shorter than that in the control group (P <0.05). The painkiller utilization rate was 10.00% (2/20) in the observation group and 40.00% (8/20) in the control group. The painkiller utilization rate in the observation group was lower than that in the control group (P <0.05). The pregnancy rate was 65.00% (13/20) in the observation group and 30.00% (6/20) in the control group. The pregnancy rate in the observation group was higher than that in the control group (P <0.05). Conclusion In the treatment of patients with endometriosis and infertility, the overall effect of laparoscopic surgery is better than that of traditional laparotomy. The method is proved to be effective and worthy of reference in clinical practice.